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Organization
GIANT OF MARYLAND LLC
Active
Organization
GIANT OF MARYLAND LLC
Active
Other names
Giant Pharmacy #384
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (DIRECTOR, PHARMACY THIRD PARTY)
(717) 240-1526
Entity
Organization
Contact information
Practice address
1535 ALABAMA AVENUE S.E., WASHINGTON, DC 20032
(202) 610-6450
(202) 610-6490
Mailing address
1149 HARRISBURG PIKE, CARLISLE, PA 17013-1607
(717) 240-5520
(717) 960-8371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0700353
DC
3336C0003X
Community/Retail Pharmacy
Primary
0700353
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904498
NCPDP
DC
05
—
09273100
—
DC
Enumeration date
08/27/2007
Last updated
05/01/2014
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